for Invasive Procedures (NatSSIPs)

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OFFICIAL entitled “Standardise, educate, harmonise: commissioning the conditions for safer surgery” 2 . This excellent report from a Never Events Taskforce led by Suzanne Shale has 15 pages of references that cover all aspects of the work behind this document, and interested readers should refer to the comprehensive literature base that they will find in the report. It is a document that is well worth reading. Whom should we thank for all this? The people and organisations that contributed to the creation of these standards are listed in Appendix B. What do I do if I have any questions? Please contact us on patientsafety.enquiries@nhs.net if you have any comments, suggestions or questions. The answers to frequently asked questions will be provided on our website: www.england.nhs.uk/ourwork/patientsafety/neverevents/natssips/. Will Harrop-Griffiths Chair, NatSSIPs Group 2 http://www.england.nhs.uk/wp-content/uploads/2014/02/sur-nev-ev-tf-rep.pdf 8
OFFICIAL 3 Introduction 3.1 NatSSIPs and LocSSIPs Standardise, harmonise, educate This document presents National Safety Standards for Invasive Procedures (NatSSIPs) that have been developed by a multidisciplinary group of clinical practitioners, professional leaders, human factors experts and lay representatives brought together by NHS England. They set out the key steps necessary to deliver safe care for patients undergoing invasive procedures and will allow organisations delivering NHS-funded care to standardise the processes that underpin patient safety. Organisations should develop Local Safety Standards for Invasive Procedures (LocSSIPs) that include the key steps outlined in the NatSSIPs and to harmonise practice across the organisation such that there is a consistent approach to the care of patients undergoing invasive procedures in any location. Put simply, the NatSSIPs in this document set out key elements of safe care, and should be used as a basis for the development of LocSSIPs by organisations providing NHS-funded care. The development of LocSSIPs in itself cannot guarantee the safety of patients. Procedural teams must undergo regular, multidisciplinary training that promotes teamwork and includes clinical human factors considerations. Organisations must commit themselves to provide the time and resources to educate those who provide care for patients. Most organisations providing NHS-funded care will already have local policies and standard operating procedures that encompass many or most of the steps outlined in these NatSSIPs. The aim is not to replace local policies, but to allow these organisations the opportunity to develop them and to benchmark them against both national standards and LocSSIPs developed by other organisations. Continuous quality improvement in the delivery of safe care for patients undergoing invasive procedures will depend upon the audit of outcomes and compliance with LocSSIPs and NatSSIPs, and upon the ongoing development and refinement of safety standards in response to audit. Commissioners and regulators will look to organisations to provide evidence of audit and appropriate responses to the results, and of a commitment to standardise, harmonise and educate in order to promote patient safety. 9
Page 1 and 2: National Safety Standards for Invas
Page 3 and 4: OFFICIAL National Safety Standards
Page 5 and 6: OFFICIAL 1 Preface from Dr Mike Dur
Page 7: OFFICIAL Safe Perioperative Practic
Page 11 and 12: OFFICIAL Never Events are a particu
Page 13 and 14: OFFICIAL Common features in Never E
Page 15 and 16: OFFICIAL In using a different term
Page 17 and 18: OFFICIAL 3.5 Governance of NatSSIPs
Page 19 and 20: OFFICIAL compliance and use of metr
Page 21 and 22: OFFICIAL Sequential 6 Procedural ve
Page 23 and 24: OFFICIAL Comments from the NatSSIPs
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Page 27 and 28: OFFICIAL should only advise that th
Page 29 and 30: OFFICIAL • Familiarity, skill-mix
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Page 33 and 34: OFFICIAL The error came to light ab
Page 35 and 36: OFFICIAL 4.7 Safety briefing Proced
Page 37 and 38: OFFICIAL 1. Participation of the pa
Page 39 and 40: OFFICIAL 5. When different operator
Page 41 and 42: OFFICIAL 4.11 Prevention of retaine
Page 43 and 44: OFFICIAL ii. • Not moving the pat
Page 45 and 46: OFFICIAL 2. The total time set asid
Page 47 and 48: OFFICIAL Royal College of Surgeons
Page 49: OFFICIAL Writing group members: Isa

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